C10000641 / invoice 10000

Phantom pregnancy and phantom urination.
Will be brining in a urine sample. Very smelly. 
Person (Chris & Lucy) 
Insurance (Y - gap claim pls)
Reminders ()
Preventatives (utd)

owner: Chris and partner
vet:rf

**HISTORY**

Owner reports: First heat cycle Christmas through mid-January (approximately 3 weeks). Started displaying phantom pregnancy symptoms in last couple of days. Nesting behaviour - jumping up, hiding in room, burrowing under pillows. Appears sad, staring at wall. Noticeable behavioural change. Still swollen around nipples. Phantom urination - squatting with only drops coming out, on and off since heat. One episode of malodorous urine approximately 2 weeks ago. One episode of possible haematuria last week. History of previous UTIs.

Otherwise eating drinking, urinating and defaecating normally. No known vomiting or diarrhoea.

Owner has no other concerns.

Recent medication: Nil mentioned.

PRIMARY PROBLEM: Phantom pregnancy symptoms and urinary signs post-oestrus.

**EXAMINATION**

Hydration normal, mm=pink, CRT=normal
Eyes: NAD
Ears: NAD
Nasal exam: NAD

Oral exam
- Dental grade: 0
Lung auscultation: NAD, no dyspnoea present
Cardiac auscultation: NAD, Heart rate appropriate and regular, no arrhythmia, HR=PR, femoral pulses strong and synchronous
Murmur auscultated: No murmur present
Abdominal palpation: Relaxed and comfortable on cranial abdominal palpation, no pain response
Integument: NAD, non pruritic
Ectoparasites: None seen, tick search negative
Musculoskeletal: Orthopaedic exam nad, ambulating well
Neurological assessment: Nad
Lymphatic system: All peripheral lnn palpate normally with regards to size
Urogenital system: Mammary development present, mild lactation noted. Hooded vulva present.
Rectal palpation: None performed
Anal sac: Not examined
USG:1.046
Urinalysis: pH normal, no white blood cells, no protein, well concentrated.
Sediment stain: No crystals, no obvious bacteria, no inflammatory cells.

**ASSESSMENT**: Phantom pregnancy. No evidence of urinary tract infection on urinalysis. Possible vaginitis but not extending to upper urogenital tract.

**PLAN**: Observation for 2-3 weeks. Could consider Cabergoline if phantom pregnancy symptoms worsen - would need to be ordered in. Recheck in 2 weeks. If urinary signs persist or worsen, repeat urinalysis. Follow-up urinalysis in 3 months to rule out waxing/waning UTI. Desexing discussed - can be performed from anytime from now, owner likley to wait till 18 months . Return at any stage if concerns arise.